宁夏农村癫痫患者脑电图检查结果分析  

The Characteristics of ECG in Patients with Epilepsy in Ningxia Rural Areas

作　　者：张永梅[1] 陈桂生[1] 戴秀英[2] 王颖丽[2] 王晓娟[2] 

机构地区：[1]宁夏医科大学总医院神经内科,银川750004 [2]宁夏医科大学心身医学科,银川750004

出　　处：《宁夏医科大学学报》2013年第3期289-292,共4页Journal of Ningxia Medical University

基　　金：美国国立卫生研究所(NIH)资助国际合作项目"中国农村癫痫人口遗传学研究"(R21NS069223)

摘　　要：目的探讨宁夏农村癫痫患者的脑电图特点,为癫痫防治提供参考。方法采取整群抽样方法对宁夏吴忠、贺兰、中卫、永宁4个市县随机抽取的210例确诊癫痫的患者无偿行常规脑电图及诱发实验检查,对脑电图结果以发病年龄、性别、遗传因素分组进行统计分析。结果 (1)210份脑电图正常30份,异常180份,脑电图异常率为85.7%。(2)共检出癫痫放电84份,占异常脑电图的比例为46.7%;其中检出颞叶癫痫波58份,占69.0%。(3)癫痫初次发病年龄为14岁以下的儿童组脑电图异常率为92.7%,初次发病为14岁以上的成人组脑电图异常率为78%,儿童组明显高于成人组(P<0.01)。(4)有癫痫家族史患者20例,无家族史患者190例,二者脑电图异常率差异无统计学意义(P>0.05)。结论宁夏农村癫痫患者发病年龄为儿童组的脑电图异常率高、脑电图癫痫波以颞区多见,未发现遗传因素对癫痫患者脑电图异常率有明显影响。Objective To explore the characteristics of EEG in patients with epilepsy in Ningxia rural areas,to provide reference for the prevention and treatment of epilepsy.Methods Using cluster sampling method,210 patients with epilepsy of 4 counties were randomly selected from the free routine EEG and evoked experimental examination.EEG results were analyzed based on age,gender,genetic factors.Results(1) Of 210 patients,normal EEG in 30 copies,abnormal EEG in 180,the abnormal rate of EEG was 85.7%.(2) 84 patients showed epileptic discharge,accounting for 46.7%.58 patients showed temporal lobe epilepsy wave,accounted for 69%.(3) Abnormal rate of EEG was 92.7% in patients onset age under 14 while abnormal rate of EEG was 78% in patients onset age above 14(P&lt;0.01).Conclusion Abnormal rate of EEG is higher in patients with earlier onset age(under 14.EEG showed more temporal lobe epilepsy wave.

关 键 词：癫痫 脑电图 宁夏 农村 

分 类 号：R742.1[医药卫生—神经病学与精神病学]